Zoloft yekushushikana: Zoloft yakanaka here kunetseka? Inotanga rinhi kushanda?

Zvinodhaka Info

Kugara nekuzvidya mwoyo kunogona kuita kuti hupenyu hwezuva nezuva huome. Neraki, pane nzira dzakawanda dzekurapa dziripo dzekuzvidya mwoyo dzinogona kubatsira vanhu kuwana zororo kubva kuzviratidzo zvavo. Zoloft mumwe wemishonga unogona kubatsira. Muchirongwa ichi, isu tinotsanangudza kwauri kuti chii Zoloft uye kuti ungazvitora sei kuti uwane kuzvidya mwoyo.

Kutora Zoloft nekushushikana

Kuzvidya mwoyo chiitiko chakazara icho chinokanganisa vanhu pasi rese. Anofungidzirwa 31% yevakuru vese vanozoona kusagadzikana kusagadzikana pane imwe nguva muhupenyu hwavo, uye SingleCare's 2020 kunetseka kuongorora vakawana kuti 62% yevakabvunzwa vakasangana nedambudziko rekushushikana. Zoloft ndiro zita remushonga wemageneral unonzi sertraline . Iyo mhando yeanodzvinyirira inonzi inosarudza serotonin reuptake inhibitor (SSRI) iyo inobata kunetseka nekudzora kudzokazve kweserotonin. Zoloft inobata akati wandei hutano hutano hwepfungwa:

• Kushungurudzika kwevanhu munharaunda
• Panic kusagadzikana
• Kushungurudzika
• Post-traumatic kusagadzikana kwepfungwa (PTSD)
• Kucherekedza-kumanikidza kusagadzikana (OCD)
• Premenstrual dysphoric kusagadzikana

Zoloft inogona kubata kushushikana kana kurapwa kwepfungwa, sekuziva maitiro ekurapa, kusiri kushanda kana kana chiremba wepfungwa achifunga kuti ichavandudza hupenyu hweumwe munhu. SSRIs senge Zoloft haisi nguva dzose iri yakanakisa mishonga yekushushikana, sezvo ichigona kuwedzera kushushikana mune dzimwe nguva. Vanhu vane hunyoro kana dzimwe nguva kushushikana vanofanirwa kutaura nachiremba wavo nezve mimwe mishonga yekuzvidya mwoyo vasati vatora Zoloft.

Ndeipi chaiyo Zoloft muyero wekushushikana?

Muyero wakakodzera weZoloft wekushushikana unosiyana nekuoma kwekushushikana uye kana murwere aine zvimwe zvehutano. Muzhinji, zvakadaro, yekutanga kurapa dhizaini yeZoloft yekushushikana iri 25 mg kana 50 mg pazuva.

Mahwendefa eZoloft anowanikwa mune matatu esimba masimba: 25 mg, 50 mg, uye 100 mg. Iyo yakanyanya dhosi yeZoloft ndeye 200 mg pazuva (iyo inogona kutorwa semaviri mapiritsi 100 mg).

Zvakawanda zvidzidzo inoratidza kuti dosi inoshanda kwazvo yeZoloft ndeye 50 mg pazuva. Iyi dhivhosi inoratidzirwa kuve yakanyanya inoshanda uye inoshivirira dhosi kune vazhinji varwere. Vanhu vasingapindure kune 50 mg pazuva vanogona kurairwa nachiremba wavo kuti vawedzere dosi yavo yeZoloft ne50 mg pazuva pazuva pavhiki kusvika pamazana maviri emamiriyoni pazuva. Semuenzaniso, chiremba anogona kukurudzira kutora 50 mg zuva nezuva kwevhiki imwe chete, ipapo 100 mg zuva nezuva kwevhiki rimwe chete, nezvimwe.

Zoloft inowanikwawo mune yemvura fomu semuromo mhinduro. Mhinduro yemumuromo inouya seyakajeka, isina gadziriso mhinduro pamwe nekunhuhwirira kwe menthol iyo ine 20 mg ye sertraline pa mL, pa12% doro. Iyo inouya mune 60 mL bhodhoro ine calibrated dropper ine 25 mg uye 50 mg yekupedza mamaki. Zoloft mhinduro yemuromo inofanirwa kuve yakasanganiswa (ingori usati watora) mukati ma4 ounces emvura, jisi reorenji, lemonade, ginger ale, kana ndimu kana lime soda isati yashandiswa.

Zoloft inotanga rinhi kushandira kusagadzikana?

Zoloft haishande nekukasira, saka usamire kutora Zoloft kana zviratidzo zvako zvisingaite ipapo ipapo. Zvinotora mavhiki maviri kusvika matanhatu kutanga kudzikisa kunetseka zviratidzo. Vamwe vanhu vanogona kunzwa kudzikiswa kwezviratidzo zvekushushikana mukati mevhiki yekutanga yekutora Zoloft, asi izvi hazvifanirwe kutarisirwa kune wese munhu.

Zoloft inoita kuti unzwe sei?

Zvinoenderana ne Sangano reNational Alliance pamusoro pePfungwa , zvimwe zvezviratidzo zvekutanga zvekuti Zoloft iri kushanda kuvandudza pakurara, simba, kana kuda kudya. Idzi gadziridzo dzinogona kuitika vhiki imwe kana mbiri mukutora mushonga.

Dzimwe shanduko dzakakosha, sekunzwa kusanyanya kushushikana kana kudzokerazve kufarira hupenyu hwezuva nezuva, zvinogona kutora vhiki nhanhatu kusvika sere kuti zviitike. Nekufamba kwenguva, vanhu vazhinji vanozoona musiyano wakakura muzviratidzo zvekushushikana, uye vamwe vanhu vanogona kupedzisira vasina zviratidzo zvachose.

Zvimwe zvinokanganisa

Heano ma zvinowanzoitika mhedzisiro yeZoloft unogona kusangana kana iwe ukatanga kuitora:

• Kutemwa nemusoro
• Dzungu
• Kupererwa nechido
• Musoro wakareruka
• Muromo wakaoma
• Nausea
• Manyoka
• Kuwedzera kudikitira
• Kusadzikama
• Zvepabonde mhedzisiro sekusagadzikana pabonde
• Kuneta
• Kunetseka kurara
• Kutya

Kunyangwe zvisingawanzoitika, Zoloft inogona kukonzeresa zvakakomba mhedzisiro senge isina kujairika uremu, yakaderera sodium mayero eropa, yakawedzera njodzi yekubuda ropa (kunyanya kana ichibatanidzwa nemamwe madhiragi senge anocheka ropa kana maNSAID), kufenda, kukanganiswa nemagetsi, uye kubvisa zviratidzo.

Yambiro

Zoloft zvakare inouya neye nhema bhokisi yambiro yekuzviuraya pfungwa uye maitiro. Pfupi-yenguva zvidzidzo vakaratidza kuti mishonga yekudzvinyirira yakawedzera njodzi yekuzviuraya muvana, vachiri kuyaruka, uye nevakuru vechidiki zvichienzaniswa nenzvimbo inogara nzvimbo.Zvisinei, vanhu vezera ripi neripi vanotora Zoloft vanofanirwa kuongororwa, saka seek kurapwa kwekurapa ipapokana iwe uri kutora Zoloft uye wotanga kuve neakanyanya manzwiro shanduko uye / kana kuzviuraya pfungwa kana maitiro.

Food and Drug Administration inoyambirawo varwere nezvekutora sertraline (Zoloft) kana vaine nhumbu, vachiyamwisa, vane matambudziko eziso aripo (sertraline inoita kuti varwere vawedzere kubatwa neglaucoma), uye avo vane bipolar disorder avo vasiri kutorawo mamiriro ekudzikamisa.

Kudyidzana

Taura nachiremba wako nezvekuti ungatora sei Zoloft kana iwe uri kutora chero eanotevera mishonga:

• Mimwe mishonga inowedzera serotonin nekuda kwenjodzi yeserotonin chirwere
• Disulfiram
• Triptans
• Ropa rakapfava senge warfarin
• NSAID dzakadai sebuprofen
• Wort St.
• Lithium
• Nardil (phenelzine)
• Mushonga (tranylcypromine)
• Marplan (isocarboxazid)
• Azilect (rasagiline)
• Emsam (selegiline)
• Orap (pimozide)

Zoloft yakatorwa ne monoamine oxidase inhibitors ( MAOI ) kana zvimwe zvinodhaka zvinowedzera serotonin (senge mamwe maanodzvinyirira, triptans, uye dextromethorphan, inowanikwa mukukosora uye zvigadzirwa zvinotonhora) zvinogona kukonzera serotonin chirwere , emergency inotyisidzira hupenyu inogona kukonzeresa kuona zvisipo, kufenda, makoma, kudedera, delirium, uye zvimwe zvakakomba mhedzisiro.

Ndeipi inoshanda zvakanyanya antidepressant yekuzvidya mwoyo?

Iko hakuna imwechete antidepressant iyo yakanakira pakurapa kunetseka. Izvo zvinoshanda kune mumwe munhu zvinogona kusashandira mumwe. Zviratidzo zvekushushikana zvinopera zvachose 1 pavanhu vatatu voga voga vanotora SSRIs, asi kumwe kutsvagurudza kuchiri kuda kuitwa kuti nei SSRIs ichishandira vamwe vanhu kwete vamwe. Mutapi wako wezvehutano ndiye munhu akanakisa wekubvunza kuti ndeipi antidepressant ichave yakakunakira iwe.

Mimwe mishonga yeSSRI inogona kushanda kushushikana seProzac kana Celexa kana Paxil, zvakadaro imwe neimwe ine mimwe mhedzisiro - kunyanya yakadzikira libido uye kuwedzera uremu, anodaro Mumwe Naidoo , MD, chiremba wepfungwa paMass General Hospital muBoston. Benzodiazepines inoshanda kwazvo munguva pfupi iri pasi pekuchengetwa nachiremba, asi iyi inogona kupindwa muropa nemishonga uye inofanira kushandiswa nekungwarira kukuru uye chete senzira yenguva pfupi, semuenzaniso, kushungurudzika zvichitevera kufa kwenhengo yemhuri, anodaro Dr. Naidoo.

Zoloft dzimwe nzira
Zita remishonga	Chii icho	Standard muyero (muyero ungasiyana)	Zvakajairika mhedzisiro	SingleCare kuchengetedza
Effexor XR (venlafaxine ER)	Serotonin-norepinephrine reuptake inhibitor (SNRI) inobata kushushikana uye inovandudza manzwiro uye masimba esimba	75 mg / zuva rakatorwa nechikafu	Kusvotwa, kuoma muromo, kukotsira	Tora coupon
Prozac (fluoxetine)	SSRI yaishandiswa kurapa zvakanyanya kushungurudzika kusagadzikana, OCD, bulimia nervosa, uye panic kusagadzikana	20 mg / zuva	Kutya, kushaya hope, kuda kurutsa	Tora coupon
Lexapro (escitalopram)	SSRI inobata yakajairika kusagadzikana kusagadzikana uye kushushikana kukuru kwekushungurudzika	10-20 mg / zuva	Kusuruvara, kuda kurutsa, kudzikira libido	Tora coupon
Xanax (alprazolam)	Benzodiazepine inobvisa kunetseka kwenguva pfupi	0.25-0.5 mg, kusvika katatu pazuva	Xanax ndeyezvinhu zvinodzorwanekuda kwekugona kwayo kushungurudzwa kana kutsamira.	Tora coupon
Paxil (paroxetine)	SSRI inobata kushushikana uye mamwe mamiriro epfungwa	20 mg / zuva	Nausea, kukotsira, kuoma muromo, bonde mhedzisiro, kurwadziwa nemusoro, kushaya simba	Tora coupon
Celexa (citalopram)	SSRI iyo inowanzo gadzirirwa kushushikana, asi vanachiremba vanogona zvakare kuiraira iyo kubatsira kudzikisira zviratidzo zvekushushikana	20 mg / zuva	Kushaya hope, kuda kurutsa, kuneta, kuwedzera kudikitira, dzungu, kuoma muromo	Tora coupon

Sezvambotaurwa, wako mupi wezvehutano ndiye munhu akanakisa wekubvunza nezve maitiro ekurapa kunetseka kwako. Mishonga inogona kushanda pakurapa kushushikana, asi Dr. Naidoo anoti iwe unogona kunge uine dzimwe sarudzo zvakare. Anotaura nezvekuchinja kwekudya, kufunga, kurovedza muviri, uye kurovedza muviri sedzimwe nzira dzekurwisa kusagadzikana. Chiremba wako anogona kukubatsira iwe kuti uuye nechirongwa chekurapa icho chinokwana zvakanaka muhupenyu hwako.